# WATERLOO CHIROPRACTIC AND REHABILITATION CENTER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922385152
- **Authorized official:** ANTHONY VALLEROY D.C. (CHIROPRACTOR/OWNER)
- **Authorized official phone:** (618) 939-4700

## Contact information

- **Practice address:** 305 S MOORE ST STE A, WATERLOO, IL 62298-1328
- **Practice address phone:** (618) 939-4700
- **Mailing address:** 305 S MOORE ST STE A, WATERLOO, IL 62298-1328
- **Mailing address phone:** (618) 939-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 038009945 | IL | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011